Take Action Mental Health in Your State

Missouri

By The Numbers

938,000

Number of K-12 Students (2022 Projection)i

72,000
Children with major depressionii
37,000

Children with major depression who do not receive treatmentiii

1:4,867

Ratio of School Psychologists to Students
(Recommended Ratio 1:500)

1:2,250

Ratio of School Social Workers to Students
(Recommended Ratio 1:250)

1:339

Ratio of School Counselors to Students
(Recommended Ratio 1:250)

Take Action
in Missouri

There is a national emergency in children’s mental health. Children and youth are experiencing soaring rates of anxiety, depression, trauma, loneliness, and suicidality. 

Take Action

Children and youth are experiencing soaring rates of anxiety, depression, trauma, loneliness, and suicidality. Mental health challenges can affect success at school and in life, yet few students get the help they need to thrive.

The Hopeful Futures Campaign, a coalition of national organizations, is committed to ensuring that every student has access to effective and supportive school mental health care. The campaign’s school mental health report cards highlight accomplishments and provide important action steps to help address the children’s mental health crisis in every state.

At A Glance: State School Mental Health Policies

School Mental Health Professionals:

School-Family-Community Partnerships:

Teacher and Staff Training:

Funding
Supports:

Well-Being Checks:

Healthy School Climate:

Skills for Life Success:

Mental Health Education:

Little or no progress achieved

Some progress achieved

Meaningful progress achieved

Substantial progress achieved

HOW MISSOURI COMPARES

State Rankings from Mental Health America iv

2015

2020

2021

2022

Overall State Rank for Youth Mental Health

17

26

31

22

Youth with At Least One Major Depressive Episode in the Past Year

36,000 / 7.62%

68,000 / 14.57%

69,000 / 14.78%

72,000 / 15.54%

Youth with Major Depressive Episodes in the
Past Year Who Did Not Receive Treatment

Not Asked

45,000 / 59%

40,000 / 58.8%

37,000 / 57.30%

Youth with Major Severe Depressive Episodes in the Past Year

Not Asked

51,000 / 11.3%

47,000 / 10.4%

47,000 / 10.40%

Youth with Severe Major Depressive Episodes
Who Received Some Consistent Treatment

Not Asked

19,000 / 36.7%

9,000 / 19%

5,000 / 12.60%

Students Identified with Emotional Disturbance
for an Individualized Education Program

6,231 / 7.63%

6,738 / 8.25%

7,072 / 8.66%

7,188 / 8.87%

Youth with Private Insurance That Did Not
Cover Mental or Emotional Problems

Not Asked

16,000 / 6.3%

14,000 / 5.9%

9,000 / 4.20%

Youth with Substance Use Disorder in the Past Year

30,000 / 6.31%

17,000 / 3.72%

17,000 / 3.69%

19,000 / 4.04%

 

i. Projections of education statistics to 2022. National Center of Education Statistics. (n.d.). Retrieved November 11, 2021, from https://nces.ed.gov/pubs2014/2014051.pdf.
ii. The state of Mental Health in America. Mental Health America. (n.d.). Retrieved November 9, 2021, from https://mhanational.org/issues/state-mental-health-america.
iii. The state of Mental Health in America. Mental Health America. (n.d.). Retrieved November 9, 2021, from https://mhanational.org/issues/state-mental-health-america.
iv. The state of Mental Health in America. Mental Health America. (n.d.). Retrieved November 9, 2021, from https://mhanational.org/issues/state-mental-health-america.
Missouri

By The Numbers

938,000

Number of K-12 Students (2022 Projection)i

72,000
Children with major depressionii
37,000

Children with major depression who do not receive treatmentiii

1:4,867

Ratio of School Psychologists to Students
(Recommended Ratio 1:500)

1:2,250

Ratio of School Social Workers to Students
(Recommended Ratio 1:250)

1:339

Ratio of School Counselors to Students
(Recommended Ratio 1:250)

Take Action
in Missouri

There is a national emergency in children’s mental health. Children and youth are experiencing soaring rates of anxiety, depression, trauma, loneliness, and suicidality. 

Take Action

Children and youth are experiencing soaring rates of anxiety, depression, trauma, loneliness, and suicidality. Mental health challenges can affect success at school and in life, yet few students get the help they need to thrive.

The Hopeful Futures Campaign, a coalition of national organizations, is committed to ensuring that every student has access to effective and supportive school mental health care. The campaign’s school mental health report cards highlight accomplishments and provide important action steps to help address the children’s mental health crisis in every state.

At A Glance: State School Mental Health Policies

School Mental Health Professionals:

School-Family-Community Partnerships:

Teacher and Staff Training:

Funding
Supports:

Well-Being Checks:

Healthy School Climate:

Skills for Life Success:

Mental Health Education:

Little or no progress achieved

Some progress achieved

Meaningful progress achieved

Substantial progress achieved

HOW MISSOURI COMPARES

State Rankings from Mental Health America iv

2015

2020

2021

2022

Overall State Rank for Youth Mental Health

17

26

31

22

Youth with At Least One Major Depressive Episode in the Past Year

36,000 / 7.62%

68,000 / 14.57%

69,000 / 14.78%

72,000 / 15.54%

Youth with Major Depressive Episodes in the
Past Year Who Did Not Receive Treatment

Not Asked

45,000 / 59%

40,000 / 58.8%

37,000 / 57.30%

Youth with Major Severe Depressive Episodes in the Past Year

Not Asked

51,000 / 11.3%

47,000 / 10.4%

47,000 / 10.40%

Youth with Severe Major Depressive Episodes
Who Received Some Consistent Treatment

Not Asked

19,000 / 36.7%

9,000 / 19%

5,000 / 12.60%

Students Identified with Emotional Disturbance
for an Individualized Education Program

6,231 / 7.63%

6,738 / 8.25%

7,072 / 8.66%

7,188 / 8.87%

Youth with Private Insurance That Did Not
Cover Mental or Emotional Problems

Not Asked

16,000 / 6.3%

14,000 / 5.9%

9,000 / 4.20%

Youth with Substance Use Disorder in the Past Year

30,000 / 6.31%

17,000 / 3.72%

17,000 / 3.69%

19,000 / 4.04%

 

i. Projections of education statistics to 2022. National Center of Education Statistics. (n.d.). Retrieved November 11, 2021, from https://nces.ed.gov/pubs2014/2014051.pdf.
ii. The state of Mental Health in America. Mental Health America. (n.d.). Retrieved November 9, 2021, from https://mhanational.org/issues/state-mental-health-america.
iii. The state of Mental Health in America. Mental Health America. (n.d.). Retrieved November 9, 2021, from https://mhanational.org/issues/state-mental-health-america.
iv. The state of Mental Health in America. Mental Health America. (n.d.). Retrieved November 9, 2021, from https://mhanational.org/issues/state-mental-health-america.

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School Mental Health Professionals

Little or no progress achieved

School psychologists, social workers, and counselors who, together, provide a range of necessary mental health services in schools.

 

Current Policy:

  • School Psychologists: Missouri has one school psychologist for every 4,867 students (the recommended ratio is 1:500).
  • School Social Workers: Missouri has one school social worker for every 2,250 students (the recommended ratio is 1:250).
  • School Counselors: Missouri has one school counselor for every 339 students (the recommended ratio is 1:250).

 

Policy Opportunity:

  • Invest in significantly improving the ratios of school psychologists, school social workers, and counselors in K-12, including through telehealth partnerships and workforce programs that incentivize careers in mental health.

School-Family-Community Partnerships

Meaningful progress achieved

Policies that support and enable schools to engage with families and community partners.  

 

Current Policy:

  • Family/community engagement: State statutes and policies require districts to adopt plans, policies, or strategies to engage parents and families in the educational process.

 

Policy Opportunity:

  • Require partnerships between school districts and community mental health providers that ensure access to services for students with ongoing needs.

Teacher and Staff Training:

Some progress achieved

Policies that support training of teachers and staff in mental health, substance use, and suicide prevention.

 

Current Policy:

  • Teacher/staff training: Ann Stat. § 170.048 (2016) requires each district to adopt a policy for youth suicide awareness and prevention, including training of district employees.

 

Policy Opportunity:

  • Expand on existing training requirements to ensure K-12 teachers and staff receive regular training on mental health conditions and substance use conditions, including available school and community-based services and resources.

Funding Supports

Substantial progress achieved

Policies that help support funding of school mental health services for Medicaid-eligible students.  

 

Current Policy:

  • Medicaid coverage: State Medicaid program covers school-based mental health services for all Medicaid-eligible students. Also allows community mental health providers to provide services in schools at a school district’s discretion.
  • Medicaid telehealth: State Medicaid program covers school-based mental health services delivered via telehealth.

Well-Being Checks

Little or no progress achieved

Regular checks of mental wellness that help identify students and staff who may need support.  

 

Current Policy:

  • No well-being checks required.

 

Policy Opportunity:

  • Require annual well-being checks for all students and staff in K-12.

Healthy School Climate

Meaningful progress achieved

Policies that foster safe, supportive schools, including anti-bullying policies, school climate surveys, inclusive environment (anti-discrimination) policies, excused absences for mental health, alternatives to exclusionary discipline, and suicide prevention programs.

 

Current Policy:

  • Inclusive environment: Code Regs. Ann. tit. 5, § 20-100.125, app. A, “CC1.” The school system promotes respect for individual differences via diversity training, diversity awareness, policies, and procedures, and also ensures the implementation of effective practices on violence-prevention instruction, including information on preventing and responding to harassment and bullying, for each student and staff member. 
  • Anti-bullying: Ann. Stat. § 160.775 (2016) The statute defines bullying, provides guidance on school policies and notifying students.
  • Suicide prevention: Ann Stat. § 170.048 (2016) requires each district to adopt a policy for youth suicide awareness and prevention, including training of district employees.

 

Policy Opportunity:

  • Enact legislation to address additional healthy school climate policies, such as requiring annual school climate surveys, permitting excused absences for mental health concerns, and requiring adoption of alternatives to exclusionary discipline that keep youth in school, with services and supports to get their lives on track. 

Skills for Life Success

Little or no progress achieved

Skills, such as responsible decision-making, relationship skills, and self-management, that help students succeed in school and life.  

 

Current Policy:

  • Ann. Stat. § 170.020 (2019) authorizes a voluntary pilot program to implement a life skills program in elementary grades, but there are no life skills competencies required in K-12.

 

Policy Opportunity:

  • Require adoption of evidence-based life skills education for K-12, including making training in the curriculum available to parents and caregivers.

Mental Health Education

Little or no progress achieved

Health education in K-12 that includes instruction on mental health.  

 

Current Policy:

  • Mental health education: State regulations for K-12 health education standards include social and emotional health and mental health preventive measures, like stress reduction, but do not specify mental health education.

 

Policy Opportunity:

  • Require K-12 health education to explicitly include education on mental health, similar to legislation passed by New York and Virginia.